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` <br /> APPLItATION FOR SANITATION'�7`�� PERMIT Permit No. <br /> `Comulefu in Owoliuofo <br /> Date Issued <br /> -- <br /> ' . <br /> Application is koro6v mn6a to the San Joaquin Local Hau|H` District for o permit to construct and install the work herein described. � <br /> This pplicmtiois made in compliancewith County {},di i <br /> ---------------- <br /> ^x~^= ^ '`~^~^ —���'''��'—�''—'�- ' ^~^- ^-~�^' � <br /> �� . <br /> Address__- --'_---~ _-.___.__._._---_'---__------_____ ~ <br /> Con+n»cfor's Name----------------------------------���x�]�-A�����-.&�A��^---�----._---___---_- Phono]144L����6QJ[.—. <br /> |n�o|�t�n *� o�ve: Residence �� Apartment House E] Commercial El Trailer Court D Motel Other <br /> [� <br /> ' ^� � �� <br /> Number of living units. ..J-. Number ofbedrooms ,�~. Number of baths ..�- Lot s�u �-=-���~��/v&��i---------------------------- <br /> Water Supply, Public system E] Community system E] .Private <br /> � .Depth tor-Wafer'Ta6|a.;ZA�Yft. <br /> Character of m6i to o depth of 3 feet: Sand E] Gravel [] Sandy Loam E] {Juy Loam F�A Quy E]. .Adoba E] Hardpan E] <br /> Previous Application k4a6o: Yes E] No K New Construction: Yo, A No El FHA/VA. Yes [] No E] <br /> TYPE {}FINSTALLATION AND SPECIFICATIONS: <br /> (No septic tank mr'me,epon| permitted if public sewer isavailable within 200foet.) <br /> Septic Tank, Distance from nearest ,e8 °�&�/� Distance from tnundmtion-����.--_�mo+anu�-. ----' <br /> of @�� Liquid dpjh Capacity-Z440 <br /> Disposal Field: Disfance from nearest well...Ap.....Distance from foundafion___.-;Zi!�--------Distance to nearest lot <br /> Seepage Pit: Distance to nearest well----/S_0------D�sfance 4T{ m kfunclation-_5 -------Distance to nearest lot line_.___�_ <br /> ~~'~'.~� ~~~�^. .~.. ...~,~. ._. -__-- .._. __--t_n . _-n" --t__ <br /> El Size: Diameter------- --------�--,-----------------------------------------------------Liquid Capacity----------------------------gals. <br /> . P6vy: ' Distance 6nm nnore5� weU--- --------- ~���-'',�`'''''---Distance fmm'n6_64're'sf building------------------------------------------ <br /> El Distance to nearest lot line- -----'----_-------------'-' / <br /> -----'g -�-' - �-�--� `-----''' -------------------------------------------------- <br /> ------------ <br /> '--'-'' [ � <br /> ---_.._-..______.__�-_.------ L7 <br /> 1. <br /> --'---'-------''''-''----'''-^''--'-~~---'---^-l'�`''-----''---''----'--'--''--'--'--''-''--''-' <br /> tl <br /> .—__--_--_-.--.—.__''-_-_-��-__—_.-_�c_---_—_-__-_--_--'__----.----.----. | <br /> halft <br /> . hereby_ certify ._po,nm*npesSru`e mws un ' <br /> neo/ - - ---------- - - Z- <br /> ' <br /> Oe <br /> (Ploplan, swing e o |ovmin ra|ot|nn o woUo.�|��nq�. �.�n 6a p��� ��r� o�eL - <br /> ' <br /> FOR DEPARTMENT USE ONLY . <br /> BUILDINGPERMIT ISSUED---------------------------- ------------------------------------------------------------------------- DATE.-----_-_-------------' <br /> AKm,utinnoanJ/n, rocnmmon6m+ions:_------------------_--_--------.-_---__-.-_---_-.-----.---- <br /> �------------------------------- '-----------_-------------'-------- ------------------_-------------------------------------------------_--------------------------_��-----------------'----------------------'---_ <br /> —''-'-'--''--'--''---''''---'''' - --''--'-----'''---'----'--'`--'----'-' i <br /> .--._.. -_----_-__---__--_----------.--.. . <br /> -----------------------'-'''-' �� - ''''''''--'''_'-'''_-'''''-''-''-_-''-''----' <br /> FINAL INSPECTION. .� /- - � Oofn ���.�.���[ .�» -� .. ' <br /> � -~��--' '---' 'U'-�`"-V_jp� <br /> --� ��-��� �------ <br /> , <br /> ' S4N JOAQU|NLOCAL HEALTH DISTRICT � <br /> /30 south American street 300 West Oak Street '32 Sycamore Street 814 North "C" Street <br /> Slo"m*". Cal/o,,"ia Lodi, California Manteca, California Tr""' California <br />_. x � es--v-xM n°~a°d 1'57r,,m. .� <br />